Wall, Antoinette Wilkes
Wall, Antoinette Wilkes is an sole proprietor health care provider with primary practice located at #7 Glenn Bridge Rd Ste D, Arden NC 28704-3333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wall, Antoinette Wilkes can be contacted via phone (828) 684-3949.Contact Information
Primary practice address
#7 Glenn Bridge Rd Ste D
Arden NC 28704-3333
Phone: (828) 684-3949
Fax: (828) 684-2330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20857 | North Carolina |
Profile Details
NPI number | 1871544791 |
---|---|
LBN Legal business name | Wall, Antoinette Wilkes |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 15th, 2006 |
Last updated | Jul 20th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871544791 | NPPES |
North Carolina | MEDICAID | 8985383 | |
North Carolina | Other | 85383 |
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